Individual
NAMETRIS BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, LCMHCS
Contact information
Practice address
118 ACADEMY STREET, FORT MILL, SC 29715
(704) 350-5394
Mailing address
3160 HIGHWAY 21, STE 103 #19, FORT MILL, SC 29715-8888
(803) 336-1089
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701007567
VA
101YP2500X
Professional Counselor
2288
MS
101YP2500X
Professional Counselor
Primary
5370
SC
101YP2500X
Professional Counselor
6401016479
MI
101YP2500X
Professional Counselor
83566
TX
101YP2500X
Professional Counselor
8855
NC
101YP2500X
Professional Counselor
C.1801012
OH
101YP2500X
Professional Counselor
LPC010060
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701007567
LICENSED PROFESSIONAL COUNSELOR
VA
01
—
2288
LICENSED PROFESSIONAL COUNSELOR
MS
01
—
5370
LICENSED PROFESSIONAL COUNSELOR
SC
05
—
6115105
—
NC
01
—
6401016479
LICENSED PROFESSIONAL COUNSELOR
MI
01
—
8855
LICENSED PROFESSIONAL COUNSELOR
NC
01
—
C.1801012
LICENSED PROFESSIONAL COUNSELOR
OH
01
—
LPC010060
LICENSED PROFESSIONAL COUNSELOR
GA
05
—
PC1370
—
SC
Enumeration date
10/25/2011
Last updated
07/08/2025
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